HomeMy WebLinkAboutPermit Mechanical 1998-11-12IELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Offlce:726-3759
?/{/yJOB NUMBER
225 Fifth Street
Sprlngf leld, Oregon 97477
LOCATION OF PBOPOSED zs62
ASSESSORS MAP;1t'( t >TAX LOT:66)t3
LOT
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BLOCK:SUBDIVISION: -
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STATE:ztP;
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ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
n B "c\"$rDESCRIBE WORK:
O,^et wxV
ADDRESS
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EXPIRES .j PHONE
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CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
- OFFICE USE -THIS PERMIT SHALL EXPIRE IFTHE WORK to
torth
E:
To i'equest an lnspectlon
made the same worklng
n femporary Electrlc
Slte lnspectlon - To be made
after excavatlon, but prlor to
setting forms.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Underltoor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Rough Plumbing - prlor to
cover.
, v"ou rnust cail 726'3769. This ls a 24 hour recorcllng. All inspections requesred before 7:Oo a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Rough Mechanlcal - Prlor to
cover.l--l Flnal Plumbing - When ail
'J plumblng worl( is complete.
l-_l Underslab Plumblng/ Electrlcal /'J Mechanlcal - Prior to cover.
Rough Electrical - Prior to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Electrlcal - When allelectrlcal work ls complete.
Final Mechanlcal - When allmechanical work ls complete.
Flnal Bulldlng - When alt
requlred lnspectlons have been
approved and building ls
completed,
Other
-
MOBILE HOME INSPECTIONS
Plumblng Connectlons - Whenhome lras been connected to
water ancl sewer.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
E l'Jffiifl!"i,lfl"ln'."olns - Prror [-_l Drywan - prror to taprng.
[l Sanltary Sewer - Prior to fliling.J trench.
I-l Storm Sewer - prtor to filling
-
trench.
I--l Water Llne - Prtor to fiillngu trench.
Framlng - Prlor to cover.
Wall/Celllng lnsulatlon - prlor to
cover.
Wood Stovo - After lnstallatlon.
Curbcut & AJrproach - After
forms are erected but prior toplacement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fencs - When coi-rrpleted.
Electrlcal Connection - Whenblocking, set-up, and plumbing
lnspectlons have been approvedand the home ls connected tothe servlce panel.
lnsert - After flreplace approval
and lnstallatlon of unlt.
l-_l elocking and Ser.Up - When ail
-
blocklng ls complete.
n $treet Trees - When all requlred
-
trees are planted.
Flnal - After all requiredlnspectlons are approved andporchcs, sklrilng, decks, andventlng have been lnstalled.
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E
(i-HE PROPOSED WORK TN THE .
HISTORICAL DISTFIICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
tnterior
-
Corner
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
VALUE
(A)
_ti
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO, FT.
Main
Garage
Carport
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, tegulating the constructlon and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:_
BUILDING VALUE,
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Beceived By:
LAN CHECK
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
PLUMBING PERMIT
FT.
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
L 06
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appllcation and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure without perrnission of the Butldirrg Safety Divislon.
I further certi{y that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all reguired inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Signature
- L0'1.8Date
on the slte at all mes during constructlon
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
L-4
?
0 9L" 17
VALIDATION:
RECEIPT NUMBEB
DATE PAII)
AMOUNT RECEIVED
RECEIVED BY
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are belng improved.
. FT.
N0
rctr ng project as submittsd hfi$tho: ting,and doee not require specitic land u$s.,,..roval.
SPF|IN ELO
ELECTRICAL PERHIT APPLICATION
Job Nuober 7t t't t7
COMPLETE FEE SCEEDULE BELOV
Nev Residential-S
Multi-FamilY Per
Service Included:
ingle or
dvelling unit.
I tems Cos t
s 8s.00t000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf 'd Horne or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amp s or les.s s s0.00
201 amP s to 400 amPs s 60.00
to 600 amPs s100.00
TH48,b6f;E:to 1000 amPs-
s 40.00
zonine L^N\_
225 FIFTI1 STREET
sPRrNGFrliLD, oREGoN
INSPECITI)N REQTIEST:
oFFICE z 726-3759
,, Oyu orized signarure_Ka^-L _-.-*irfl
726-3769
3
A1. LOCA ON OF IN5z -'
ION
?oot/ 3
JB E;ESIRIC, rNC.
a
Sum
Permits ;lre non-transferable and expire
if vork ts nor siarted vithin 180 days
of issuance or ri vork is suspended for
180 daYs.
2. CONTTACTOR INSTALI-,ATION ONLY
J OB ])ESCRIPTION
Electric r1 Contractor
Add ress_4o6s w. rrttfxolfcE:
s 1s.oo
s 40.00
B
IFCity__E_ry s130.00
Supervis,rr License T,JI$ PEN MITAgFJDf 000 amps /voI ts s300.00
Expirati;n Date 10/1/e9 F8R.*n ect 0n1Y
Services or Feeders
Cons tr C lntr. N
Expirati >n Dale
rlm ber 104929 Ins talla t i on ,Alteration or Relocati
3114/00 200 amps''or fess s ss.00
Signat o sing Electrician $ 80.00
s see rrBtt
oAR 952-001
s 40.00
on
above
0vners N,e
Address ZSC z N /f
-0010 throuoh OAR 952-001-
*t4ltoPiJ*f the rules by
"i'J[,? Bifi?61t$tB'&,Hffi hffiffiffix" " " pe r pane I
$ 3s:oo 3f
s 2.00 J-
cg[E tt 1-800[332-2344). /
Each Addi tional
Circuit or vith Service
or Feeder Permi t L
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
let
,/
Ci ty Phone
OVNE INSTALT^ATION
The i,is -t ^Ilat icn is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
E. Miscellaneous (Service/feeder not included)
-slwld-
-Each installation
Pump or irrigation S
sign/outline Lighting- S
Liili ted Energy/Res
-
S
40.00
40.00
20.00
36.00
5 37 I
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RECETVED BY:
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